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Senior Healthcare Economic Consultant - Cypress, CA or Telecommute

UnitedHealth Group

Cypress, CA
Job Code:
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Job Details

Senior Healthcare Economic Consultant - Cypress, CA or Telecommute(Job Number:706798)

No industry is moving faster than health care. And no organization is better positioned to lead health care forward than UnitedHealth Group. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant.


As the Senior Health Care Economics Consultant, you will perform critical research and investigation of key business problems. Using phenomenal analytical skills, you will develop and improve quantitative data analytics and set performance targets for the enterprise. As a subject matter expert, you will interpret and analyze clinical data from various sources and recommend best approaches for its consolidation. You will lead a team in identifying potential areas for medical cost improvements and alternative pricing strategies. There are new challenges and bigger rewards around every turn. Now is the time, and this the place where you'll find a career in which you can make a big difference in our company, our industry, even our world. Join us. And start doing your life's best work.(sm)


The Senior Healthcare Economics Consultant is part of the Medical Informatics Department that researches and investigates business problems through quantitative analysis using healthcare cost, utilization, and appeals data. This position conducts the ongoing presentation of analysis results and findings to support healthcare business operations, performance and improvement. The reporting team for this position has a focus on developing a variety of reporting tools to support the work that is performed by the UnitedHealth Clinical Services Department supporting the Clinical Quality Improvement, Appeals & Grievances, and Regulatory & Compliance teams. There are also a variety of reporting tools that are developed to support a variety of UnitedHealth Groups' initiatives, state and regulatory compliance measures outcomes, and periodic client specific performance measures/outcomes.


Primary Responsibilities:

  • Develop and improve quantitative data analytics and set performance targets

  • Lead projects to completion by contributing to database creation, statistical modeling and financial reports

  • Interpret and analyze clinical data from various sources and recommend best approaches

  • Provide claims, premium, capitation and membership data in support of Underwriting, Actuarial and utilization analyses

  • Create and update automated processes

  • Analyze reporting tools to investigate sources of variations

  • Produce and review reports

  • Works with less structured data, and recognizes data patterns and potential issues and makes recommendations

  • Performs data extraction, aggregation, and quality checking from multiple sources and tables in support of trend identification, root cause analysis, affordability initiative development, validation/measurement of medical expense reduction initiatives, and regulatory compliance

  • Performs data cleaning, preparation, reporting, and analysis

  • Leverages existing and ad-hoc reporting capabilities to identify trends in health plan performance, opportunities for clinical operations improvements as it relates to regulatory compliance monitoring

  • Provides consultative advice and interprets and summarizes analytical findings

  • Researches, identifies, and implements new approaches and methods to facilitate medical cost management

  • Collaborates within and outside the Medical Informatics department, UHC, and UHN to lead the development and continuous improvement of methods, processes, and technologies to enhance healthcare quality, affordability, outcomes, and member/provider experience

  • Generally work is self-directed, and serves as a resource and mentor to others


Job Healthcare Econ & Analytics
Primary Location US-CA-Cypress
Other Location United States
Organization E&I HCE Medical Informatics
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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